TY - JOUR
T1 - Peri-operative complications of video-assisted thoracoscopic surgery (VATS)
AU - Imperatori, Andrea
AU - Rotolo, Nicola
AU - Gatti, Matteo
AU - Nardecchia, Elisa
AU - De Monte, Lavinia
AU - Conti, Valentina
AU - Dominioni, Lorenzo
PY - 2008
Y1 - 2008
N2 - Video-assisted thoracoscopic surgery (VATS) has multiple indications for diagnosis and treatment of many different thoracic diseases; the commonest are lung wedge resection, pleural and mediastinal biopsy, treatment of pneumothorax, and pleurectomy. Moreover, in recent years a few surgeons have performed routinely major lung anatomic resections by VATS approach, including segmentectomy, lobectomy and pneumonectomy. In our experience VATS constitutes about one-third of all thoracic surgical procedures. In the reviewed literature as in the most frequent complications after VATS procedures are: prolonged air leak, bleeding, infection, postoperative pain, port site recurrence and the need to convert the access in thoracotomy. The complication and mortality rates are generally very low and VATS procedures are considered safe and effective. It is recommended that all thoracic surgery departments audit their VATS procedures for peri-operative morbidity and mortality to compare results and outcomes.
AB - Video-assisted thoracoscopic surgery (VATS) has multiple indications for diagnosis and treatment of many different thoracic diseases; the commonest are lung wedge resection, pleural and mediastinal biopsy, treatment of pneumothorax, and pleurectomy. Moreover, in recent years a few surgeons have performed routinely major lung anatomic resections by VATS approach, including segmentectomy, lobectomy and pneumonectomy. In our experience VATS constitutes about one-third of all thoracic surgical procedures. In the reviewed literature as in the most frequent complications after VATS procedures are: prolonged air leak, bleeding, infection, postoperative pain, port site recurrence and the need to convert the access in thoracotomy. The complication and mortality rates are generally very low and VATS procedures are considered safe and effective. It is recommended that all thoracic surgery departments audit their VATS procedures for peri-operative morbidity and mortality to compare results and outcomes.
KW - Air leak
KW - Bleeding
KW - Complications
KW - Lung surgery
KW - Surgical site infection
KW - Video-assisted thoracoscopic surgery
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U2 - 10.1016/j.ijsu.2008.12.014
DO - 10.1016/j.ijsu.2008.12.014
M3 - Article
C2 - 19186114
AN - SCOPUS:63449091469
VL - 6
JO - International Journal of Surgery
JF - International Journal of Surgery
SN - 1743-9191
IS - SUPPL. 1
ER -